Remote Supervisor Utilization Management Jobs in Arizona

AHCCCS Arizona Health Care Cost Containment System
Accountability, Community, Innovation, Leadership, Passion, Quality, Respect, Courage, Teamwork
The Arizona Health Care Cost Containment System (AHCCCS), Arizona's Medicaid agency, is driven by its mission to deliver comprehensive, cost-effective health care to Arizonans in need. AHCCCS is a nationally acclaimed model among Medicaid programs and a recipient of multiple awards for excellence in workplace effectiveness and flexibility.
AHCCCS employees are passionate about their work, committed to high performance, and dedicated to serving the citizens of Arizona. Among government agencies, AHCCCS is recognized for high employee engagement and satisfaction, supportive leadership, and flexible work environments, including remote work opportunities. With career paths for seasoned professionals in a variety of fields, entry-level positions, and internship opportunities, AHCCCS offers meaningful career opportunities in a competitive industry.
Come join our dynamic and dedicated team.

Job Location:

Address: 150 N. 18th Ave, Phoenix, AZ 85007 

Posting Details:

Salary:  $85,000 - $91,000
Grade: S29 FLSA Status: Exempt Closing Date: Open Until Filled 
This position may offer the ability to work remotely, within Arizona, based upon the agency's business needs and continual meeting of expected performance measures.

Job Summary:

This position plans, directs, and manages the development of automated systems, oversees policy and procedure improvements, and ensures all departmental projects are completed successfully. The role also supervises a staff of Project Leaders, Programmer/Analysts, and Business Analysts assigned to the Finance/Provider/Reference/Premium Billing Unit within Applications Systems; mentors team members; prepares reports; manages budgets; and participates in hiring processes.

This position may offer the ability to work remotely, within Arizona, based upon the department's business needs and continual meeting of expected performance measures.

The State of Arizona strives for a work culture that affords employees flexibility, autonomy, and trust. Across our many agencies, boards, and commissions, many State employees participate in the State's Remote Work Program and are able to work remotely in their homes, in offices, and in hoteling spaces. All work, including remote work, should be performed within Arizona unless an exception is properly authorized in advance.

Job Duties:

Major duties and responsibilities include, but are not limited to:
Manage and direct the ISD Finance/Provider/Reference/Premium Billing Applications Systems. Ensure systems operate efficiently, meet user needs, and support the department's overall goals. Provide leadership to staff assigned to the unit, establish priorities, and deliver high-quality service.
Develop and mentor staff assigned to the department including establishing training plans and career paths. Provide coaching, professional development, and structured training to support staff success. Help employees identify career pathways, build competencies, and ensure they have the tools needed to perform effectively and advance within the organization.
Understand the business functions, provide guidance and assist staff in developing solutions and solving problems. Ensure that all work in the department is performed according to policy and procedure. Monitor workflows and staff performance to ensure all tasks align with established policies, procedures, and regulatory requirements. Identify gaps in compliance and implements corrective actions as needed to maintain operational integrity and consistency.
Participate in code reviews, design and architecture discussions, change control, and root cause analysis.
Prepare management and status reports. Compile, analyze, and present data and updates for leadership to support decision-making. Produce clear and accurate reports that communicate project progress, issues, outcomes, and operational performance.
Attend various meetings, classes, seminars and demonstrations. Participate in internal and external meetings and professional development opportunities to stay informed about industry trends, emerging technologies, and best practices. Bring back relevant knowledge to improve departmental operations.
Participate in the hiring process for the department. Assist in recruitment activities, including reviewing applications, interviewing candidates, and selecting qualified individuals. Ensure hiring decisions support departmental goals and contribute to a skilled, diverse workforce.
Establish Information Services Division Policy and Procedures. Develop, update, and implement policies and procedures that govern the division's work. Review existing guidelines for effectiveness and revise them to reflect evolving practices, compliance standards, and organizational needs.
Establish Operational/Strategic planning for the department. Lead the creation of operational and long-term strategic plans to guide departmental growth and performance. Evaluate current activities and future needs, setting clear goals, objectives, and priorities to support organizational direction.
Other duties as assigned as related to the position (typically 5% - 10%)

Knowledge, Skills & Abilities (KSAs):

Knowledge:
Strategic planning in order to develop goals/objectives for the department
Management principles in order to mentor and lead staff toward the successful completion of assignments
Computer science in order to determine the best application of resources for automated systems development
Federal regulations in order to maximize the federal match on state spending
Principles of AMS in order to apply continuous process improvement to department policies, processes and procedures
Project management in order to effectively manage projects and resources
Current technologies in order to perform accurate technology assessments for projects and strategic planning
Skills:
Full Stack Application Development
Enterprise Grade Application Development leveraging C#, SQL Server and Azure Cloud platform
Visual Studio, ADO, ServiceNow tools and DevOps
Written and verbal communications skills to allow effective communication with upper management, peers, subordinates, clients, and customers
Self-motivated, goal oriented, well organized, and performs effectively under pressure
Good listening skills, good training techniques
Abilities:
Establish and maintain effective policies and procedures regarding the operation of the department
Plan based on the goals and objectives of the department
Manage the department effectively
Analyze and resolve a wide variety of problems
Work in a fast paced, quickly changing environment, and culturally diverse setting
Apply the principles of AMS and SDLC to make improvement in the department
Work independently with minimal direction
Thrive in fast paced work environment

Qualifications:

Minimum:
Bachelor's degree plus 8 or more years of experience in related discipline (or equivalent experience). At least 5 years of developing software applications using ASP, .Net, C#, SQL Server in Cloud platform. At least 3 years of directly supervising software development teams developing enterprise grade web applications.
Preferred:
 PMP Certification
ScrumMaster Certification
Agile Methodology

Pre-Employment Requirements:

Successfully pass fingerprint background check, prior employment verifications and reference checks; employment is contingent upon completion of the above-mentioned process and the agency's ability to reasonably accommodate any restrictions.
Travel may be required for State business. Employees who drive on state business must complete any required driver training (see Arizona Administrative Code R2-10-207.12.) AND have an acceptable driving record for the last 39 months including no DUI, suspension or revocations and less than 8 points on your license. If an Out of State Driver License was held within the last 39 months, a copy of your MVR (Motor Vehicle Record) is required prior to driving for State Business. Employees may be required to use their own transportation as well as maintaining valid motor vehicle insurance and current Arizona vehicle registration; however, mileage will be reimbursed.

If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply: Driver's License Requirements.

All newly hired State employees are subject to and must successfully complete the Electronic Employment Eligibility Verification Program (E-Verify).

Benefits:

Among the many benefits of a career with the State of Arizona, there are:
10 paid holidays per year
Paid Vacation and Sick time off (13 and 12 days per year respectively) - start earning it your 1st day (prorated for part-time employees)
Paid Parental Leave-Up to 12 weeks per year paid leave for newborn or newly-placed foster/adopted child. Learn more about the Paid Parental Leave pilot program here.
Other Leaves - Bereavement, civic duty, and military.
A top-ranked retirement program with lifetime pension benefits
A robust and affordable insurance plan, including medical, dental, life, and disability insurance
Participation eligibility in the Public Service Loan Forgiveness Program (must meet qualifications)
RideShare and Public Transit Subsidy
A variety of learning and career development opportunities

By providing the option of a full-time or part-time remote work schedule, employees enjoy improved work/life balance, report higher job satisfaction, and are more productive. Remote work is a management option and not an employee entitlement or right. An agency may terminate a remote work agreement at its discretion.

Learn more about the Paid Parental Leave program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

Retirement:

Lifetime Pension Benefit Program
Administered through the Arizona State Retirement System (ASRS)
Defined benefit plan that provides for life-long income upon retirement.
Required participation for Long-Term Disability (LTD) and ASRS Retirement plan.
Pre-taxed payroll contributions begin after a 27-week waiting period (prior contributions may waive the waiting period).
Deferred Retirement Compensation Program
Voluntary participation.
Program administered through Nationwide.
Tax-deferred retirement investments through payroll deductions.

Contact Us:

Persons with a disability may request a reasonable accommodation such as a sign language interpreter or an alternative format by emailing careers@azahcccs.gov.
Requests should be made as early as possible to allow time to arrange the accommodation. The State of Arizona is an Equal Opportunity/Reasonable Accommodation Employer.

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